BTSG vs. FMS: BrightSpring Health Services vs. Fresenius Medical Care Stock Comparison
How do BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS) stack up? This page sets them side by side across company profile, performance and risk, profitability, growth, financial strength, dividends, and valuation, with selected fundamentals also measured against each stock's industry-group peers.
Company Profile
BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS) are both classified in the Health Care Services sub-industry within the broader Health Care Providers & Services industry, placing them in the closest GICS peer bucket.
Fresenius Medical Care (FMS) carries decades of public-market history since September 17, 1996, while BrightSpring Health Services (BTSG) listed on January 26, 2024 — long-window comparisons have far more historical data on the FMS side.
BrightSpring Health Services (BTSG) trades as ordinary local shares, while Fresenius Medical Care (FMS) trades as an ADR — compare with FX exposure, depositary-program fees, and dividend-withholding-tax differences in mind.
| Profile Item | BTSG | FMS |
|---|---|---|
| Name | BrightSpring Health Services, Inc. | Fresenius Medical Care AG - Depositary Receipt |
| Country/Region | United States | Germany |
| GICS Sector | Health Care | Health Care |
| GICS Industry Group | Health Care Equipment & Services | Health Care Equipment & Services |
| GICS Industry | Health Care Providers & Services | Health Care Providers & Services |
| GICS Sub-Industry | Health Care Services | Health Care Services |
| Market Capitalization | 13.36 billion USD | 12.15 billion USD |
| Currency | USD | USD |
| Exchange | Nasdaq | NYSE |
| Listing Date | January 26, 2024 | September 17, 1996 |
| Security Type | Common Stock | ADR |
Price Performance
Cumulative Growth
Trailing Returns
Calendar-Year Returns
Performance Metrics
| Metric | BTSG | FMS |
|---|---|---|
| Total Return (1Y) | 106.02% | -0.71% |
| Total Return (3Y, Annualized) | -- | 13.88% |
| Total Return (5Y, Annualized) | -- | -4.69% |
Risk Profile
Drawdown History
Return Distribution
Risk Metrics
| Metric | BTSG | FMS |
|---|---|---|
| Volatility (1Y, Annualized) | 45.20% | 30.61% |
| Beta (5Y) | 1.75 | 0.77 |
| Max Drawdown (5Y) | -35.56% | -62.33% |
| Avg. Volume (3M) | 2.47M | 954.21K |
Risk-Adjusted Performance
Risk-Return Positioning
Risk-Adjusted Metrics
| Metric | BTSG | FMS |
|---|---|---|
| Sharpe Ratio (1Y) | 2.25 | -0.16 |
| Sortino Ratio (1Y) | 3.25 | -0.21 |
Profitability
ROE (TTM)
BrightSpring Health Services (BTSG) at 15.54% sits in the top ROE quartile, while Fresenius Medical Care (FMS) at 7.84% is closer to the peer norm — stronger capital efficiency for BTSG.
BTSG
Health Care Equipment & Services industry group
15.54%
- Max
- 47.61%
- BTSG
- 15.54%
- Q3
- 14.36%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
FMS
Health Care Equipment & Services industry group
7.84%
- Max
- 47.61%
- Q3
- 14.36%
- FMS
- 7.84%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
Net Margin (TTM)
Both BrightSpring Health Services (BTSG) at 2.69% and Fresenius Medical Care (FMS) at 4.22% keep about the typical share of revenue as profit for their industries — neither bottom line stands out from peers.
BTSG
Health Care Equipment & Services industry group
2.69%
- Max
- 29.35%
- Q3
- 9.33%
- BTSG
- 2.69%
- Median
- 2.18%
- Q1
- -6.29%
- Min
- -28.46%
FMS
Health Care Equipment & Services industry group
4.22%
- Max
- 29.35%
- Q3
- 9.33%
- FMS
- 4.22%
- Median
- 2.18%
- Q1
- -6.29%
- Min
- -28.46%
Operating Margin (TTM)
Both BrightSpring Health Services (BTSG) at 3.81% and Fresenius Medical Care (FMS) at 9.63% run core operations about as efficiently as their industries’ norm — neither stands out on operating profitability.
BTSG
Health Care Equipment & Services industry group
3.81%
- Max
- 35.43%
- Q3
- 14.14%
- Median
- 6.81%
- BTSG
- 3.81%
- Q1
- -0.28%
- Min
- -16.29%
FMS
Health Care Equipment & Services industry group
9.63%
- Max
- 35.43%
- Q3
- 14.14%
- FMS
- 9.63%
- Median
- 6.81%
- Q1
- -0.28%
- Min
- -16.29%
Profitability Metrics
| Metric | BTSG | FMS |
|---|---|---|
| ROE (TTM) | 15.54% | 7.84% |
| ROA (TTM) | 5.44% | 3.94% |
| Net Margin (TTM) | 2.69% | 4.22% |
| Operating Margin (TTM) | 3.81% | 9.63% |
| Gross Margin (TTM) | 12.50% | 26.46% |
Growth
Revenue Growth
BrightSpring Health Services (BTSG) at 28.18% sits in the top revenue growth quartile, while Fresenius Medical Care (FMS) at 1.51% is in the bottom quartile, showing a clear gap in revenue momentum.
EPS Growth
Only one side can be read here: Fresenius Medical Care (FMS) reports EPS growth of 83.61%, ranked against its industry; BrightSpring Health Services (BTSG) has no EPS growth figure this period.
Growth Metrics
| Metric | BTSG | FMS |
|---|---|---|
| Revenue Growth (YoY) | 28.18% | 1.51% |
| Revenue Growth (3Y CAGR) | 18.69% | 0.39% |
| EPS Growth (YoY) | -- | 83.61% |
| EPS Growth (3Y CAGR) | -- | 13.47% |
Financial Strength
Current Ratio (MRQ)
BrightSpring Health Services (BTSG) at 1.62 keeps current ratio within its industry’s typical mid-range, while Fresenius Medical Care (FMS) at 0.99 runs in the tighter-liquidity quartile — a thinner cushion against current liabilities for FMS.
BTSG
Health Care Equipment & Services industry group
1.62
- Max
- 7.59
- Q3
- 4.00
- Median
- 1.98
- BTSG
- 1.62
- Q1
- 1.37
- Min
- 0.30
FMS
Health Care Equipment & Services industry group
0.99
- Max
- 7.59
- Q3
- 4.00
- Median
- 1.98
- Q1
- 1.37
- FMS
- 0.99
- Min
- 0.30
Debt / Equity (MRQ)
Fresenius Medical Care (FMS) at 0.79 carries an industry-typical debt-to-equity mix, while BrightSpring Health Services (BTSG) at 1.09 uses more debt funding than most peers.
BTSG
Health Care Equipment & Services industry group
1.09
- Max
- 1.88
- BTSG
- 1.09
- Q3
- 0.91
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
FMS
Health Care Equipment & Services industry group
0.79
- Max
- 1.88
- Q3
- 0.91
- FMS
- 0.79
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
Financial Strength Metrics
| Metric | BTSG | FMS |
|---|---|---|
| Current Ratio (MRQ) | 1.62 | 0.99 |
| Debt / Equity (MRQ) | 1.09 | 0.79 |
| Net Debt / EBITDA | 2.39 | 3.63 |
Dividends
Dividend Yield (TTM)
BrightSpring Health Services (BTSG) pays no dividend (yield 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Fresenius Medical Care (FMS) reports a yield of 6.30%, ranking against industry peers normally.
BTSG
Health Care Equipment & Services industry group
0.00%
- BTSG
- 0.00%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
FMS
Health Care Equipment & Services industry group
6.30%
- FMS
- 6.30%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Payout Ratio (TTM)
BrightSpring Health Services (BTSG) pays no dividend (payout 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Fresenius Medical Care (FMS) reports a payout of 50.14%, ranking against industry peers normally.
BTSG
Health Care Equipment & Services industry group
0.00%
- BTSG
- 0.00%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
FMS
Health Care Equipment & Services industry group
50.14%
- FMS
- 50.14%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Metrics
| Metric | BTSG | FMS |
|---|---|---|
| Dividend Yield (TTM) | 0.00% | 6.30% |
| Dividend Payout Ratio (TTM) | 0.00% | 50.14% |
Valuation
P/E Ratio (TTM)
Fresenius Medical Care (FMS) at 13.53 sits in the cheaper P/E ratio quartile, while BrightSpring Health Services (BTSG) at 47.62 is closer to its industry’s usual earnings multiple — a discount for FMS, though growth and earnings durability still matter.
BTSG
Health Care Equipment & Services industry group
47.62
- Max
- 80.41
- BTSG
- 47.62
- Q3
- 47.62
- Median
- 29.93
- Q1
- 21.19
- Min
- 4.21
FMS
Health Care Equipment & Services industry group
13.53
- Max
- 80.41
- Q3
- 47.62
- Median
- 29.93
- Q1
- 21.19
- FMS
- 13.53
- Min
- 4.21
P/S Ratio (TTM)
Both BrightSpring Health Services (BTSG) at 0.88 and Fresenius Medical Care (FMS) at 0.62 fetch a relatively low price per dollar of sales, landing in the cheaper P/S ratio quartile of their industries.
BTSG
Health Care Equipment & Services industry group
0.88
- Max
- 8.80
- Q3
- 4.32
- Median
- 2.13
- Q1
- 1.10
- BTSG
- 0.88
- Min
- 0.03
FMS
Health Care Equipment & Services industry group
0.62
- Max
- 8.80
- Q3
- 4.32
- Median
- 2.13
- Q1
- 1.10
- FMS
- 0.62
- Min
- 0.03
P/B Ratio (MRQ)
Fresenius Medical Care (FMS) at 0.85 looks cheap against book in the lower P/B ratio quartile, while BrightSpring Health Services (BTSG) at 6.39 carries a premium in the upper quartile — a clear price-to-book gap.
BTSG
Health Care Equipment & Services industry group
6.39
- Max
- 11.68
- BTSG
- 6.39
- Q3
- 6.12
- Median
- 3.00
- Q1
- 1.73
- Min
- -1.31
FMS
Health Care Equipment & Services industry group
0.85
- Max
- 11.68
- Q3
- 6.12
- Median
- 3.00
- Q1
- 1.73
- FMS
- 0.85
- Min
- -1.31
Valuation Metrics
| Metric | BTSG | FMS |
|---|---|---|
| P/E Ratio (TTM) | 47.62 | 13.53 |
| P/S Ratio (TTM) | 0.88 | 0.62 |
| P/B Ratio (MRQ) | 6.39 | 0.85 |
| Free Cash Flow Yield (TTM) | 8.30% | 12.29% |